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首页 > 医学词汇大全 > Arthroscopy
Arthroscopy

骨科

关键词骨科 诊断方式 膝关节手术

词汇介绍

拓展阅读

解析

Arthroscopy /ɑr'θrɑskəpi/

释义   n. 关节镜检查;关节内视镜检查法

例句   Infonnation in this group, MRI diagnosis of menisci injury 130, outside the hospital 14 knee arthroscopy line, has 12 confirmed maniacal tear. 本组资料中,MRI诊断半月板损伤130个,14个膝关节外院行关节镜检查,12个证实有半月板撕裂。


概述

膝关节镜属于一种微创技术,这项技术可以对膝关节上存在的伤病实施检查和诊断,通俗一点来说就是膝关节镜微创技术。目前,这项技术已经在膝关节领域得到较大发展,多数诊断以及治疗完全可以在关节镜下一次完成,这对以往的手术来说是一种突破,膝关节手术也逐渐向更加微创化的方向发展,检查的更加彻底和完整,手术具有创伤小、康复快的效果。  检查适应征1、半月板损伤,半月板的切除、修整、成形、缝合修复等。2、关节炎症,针对化脓的关节炎实施清创,然后展开冲洗和引流。针对结核病灶展开具体的清理,对骨性关节炎

Arthroscopy of the symptomatic shoulder arthroplasty复制标题

症状性肩关节置换术的关节镜检查

发表时间:2019-10-04

影响因子:2.9

作者: Doherty C

期刊:J Shoulder Elbow Surg

When considering the possibility of periprosthetic shoulder joint infection, diagnosis has traditionally been based on the clinical history and examination, in combination with serum testing, radiologic findings, and aspiration culture results. The Musculoskeletal Infection Society (MSIS) has produced consensus guidelines for diagnosis of periprosthetic joint infection in other joints, and these have been taken up by some national shoulder societies in their own guidelines. However, signs can be subtle and investigations equivocal. The lack of typical features of infection such as fever and erythema can delay diagnosis, and many authors have concluded that routine investigations for infection have a low efficacy in confirming periprosthetic shoulder joint infection. Synovial biomarkers such as leukocyte esterase or a-defensin can be used to help identify an infection at the time of surgery but do not have the ability to specifically identify which bacterium is present and the antibiotics sensitive to it. Therefore, in cases in which infection is demonstrated, decisions on antibiotics for cement in either a single- or 2-stage revision are still ambiguous.

译文

考虑到假体周围肩关节感染的可能性时,诊断通常以临床病史和检查为基础,并结合血清检测,影像学检查结果和抽吸培养结果。肌肉骨骼感染协会(MSIS)已制定了诊断其他关节假体周围关节感染的共识指南,并且一些国家的肩关节协会已将其采纳为指南。但是,迹象可能很微妙,调查也含糊不清。缺乏典型的感染特征(如发烧和红斑)会延误诊断,许多作者得出结论,对感染的常规检查在确定假体肩关节感染中的功效较低。滑膜生物标记物(例如白细胞酯酶或α-防御素)可用于帮助在手术时识别感染,但不具有特异性识别存在哪种细菌以及对其敏感的抗生素的能力。因此,在证实感染的情况下,单阶段或两阶段修订中关于水泥抗生素的决定仍然不明确。